Department of Anesthesiology and Intensive Care, University Hospital Klinikum Rechts Der Isar, Technical University of Munich (TUM), Munich, Germany.
Association for Psychosocial Competence and Support in Acute Care - PSU-Akut, Munich, Germany.
Medicine (Baltimore). 2022 Dec 30;101(52):e32302. doi: 10.1097/MD.0000000000032302.
Emergency medicine workers are exposed daily to various stressors, especially work-related stress, which have been aggravated by the current SARS-CoV 2 pandemic and impact their physical and mental wellbeing. Nonetheless, although the efficacy of programs and strategies to improving the health of medical staff and patient care has been demonstrated, such programs and strategies are scarce. To assess the prevalence, types and consequences of stress in emergency medical workers in healthcare institutions and explore tools to cope with stressful situations at workplace. Two surveys were conducted. Survey 1 assessed the subjective stress levels and stressors of 21 emergency medicine professionals. Survey 2 was conducted amongst 103 healthcare workers at 3 hospitals in Germany. It comprised selected aspects of the German Mental Risk Assessment and a validated workload scale. None. The answer frequencies on Likert scales were descriptively evaluated. Survey 1: Emergency medical professionals experienced and reported the following high stress levels in acute situations: multitasking during a complex situation; factors associated with the work environment; fear of not appropriately controlling the situation; and lack of sleep. Survey 2: The highest stress levels were experienced in the areas "work environment" and "work organization." The highest scores on the workload scale were obtained for statements on work division, exhaustion, insufficient patient care due to time constraints, regulations, and lack of information. Approximately 80% of healthcare workers had experienced emotionally stressful situations at the workplace, and > 30% had lost a colleague to suicide. There are effective and proven methods to learn how to deal with stress that can easily be established in everyday clinical practice. Healthcare workers are subjected to numerous stressors in their work environment and observe the consequences of these stressors on their own and their colleagues' wellbeing. Coping strategies for high-pressure reduces and resists the job- immanent pressure and stress in healthcare workers.
急诊医学工作者每天都面临着各种压力源，尤其是与工作相关的压力，这些压力因当前的 SARS-CoV-2 大流行而加剧，并影响他们的身心健康。尽管已经证明了改善医护人员健康和患者护理的计划和策略的有效性，但这类计划和策略仍然很少。本研究旨在评估医疗机构中急诊医学工作者的压力的流行程度、类型和后果，并探索应对工作场所压力情况的工具。进行了两项调查。调查 1 评估了 21 名急诊医学专业人员的主观压力水平和压力源。调查 2 在德国的 3 家医院的 103 名医护人员中进行。它包括德国心理风险评估的一些方面和一个经过验证的工作量量表。无。对李克特量表的答案频率进行了描述性评估。调查 1：急诊医学专业人员在急性情况下经历并报告了以下高压力水平：在复杂情况下的多任务处理；与工作环境相关的因素；担心无法适当控制情况；和睡眠不足。调查 2：“工作环境”和“工作组织”领域的压力水平最高。在工作分工、疲惫、因时间限制、规定和信息不足而无法充分照顾患者等方面的陈述上，工作量量表的得分最高。约 80%的医护人员在工作场所经历过情绪压力，超过 30%的医护人员因自杀而失去同事。有一些有效且经过验证的方法可以学习如何应对压力，这些方法可以很容易地在日常临床实践中建立。医护人员在工作环境中面临着许多压力源，并观察到这些压力源对自己和同事的健康的影响。应对高压的策略可以减轻和抵抗医护人员工作中的压力。
